Program
Tuesday, April 17
8:00-8:30 a.m.
Recap of Previous Day and Q&A Follow-up
Presenter: Ellen Cooper
Summarize Workshop Day 1 discussion and activities. Moderate brief questions and answer activity to address any Day 1
outstanding questions. Review Day 2 activities.
8:30-9:00 a.m.
Technical/Scientific Update: Relationship Between Maternal and Child Health & New Findings in PMTCT
Presenter: Elaine Abrams
This session will review the critical and interlinking relationship between an HIV infected woman (during pregnancy and postpartum) and her child’s health. It will stress the rationale for aggressively identifying and initiating pregnant and post-partum woman eligible for antiretroviral treatment, describe importance and challenges of linking PMTCT programs with pediatric/infant follow-up care and using PMTCT as an entry point for family-focused care and treatment services.
9:00-9:15 a.m.
ICAP Approach
Presenter: Elaine Abrams
This session will outline the ICAP MTCT-Plus model of care. The presenter will describe the MTCT-Plus concept and successes and challenges in implementation including routine HIV testing, CD4 screening and HAART for eligible women.
9:15-9:45 a.m.
Country Experience & Challenges:
Swaziland and Lesotho: Routinely Offering HAART to Eligible Pregnant Women
Nigeria: Expanding from SD-NVP to HAART
Presenters: Cristiane Costa, Xoliswa Keke, Jonas Chanda
- Swaziland & Lesotho: Models to Routinely & Actively Offer HAART to Eligible Pregnant Women (Cristiane Costa)
- Nigeria: ICAP-Nigeria PMTCT: Expanding From sd-NVP to HAART (Jonas Chanda)
9:45-10:00 a.m.
Questions and Answers
Moderator: Ada Ejiogu
10:00-11:00 a.m.
Country Team Strategizing: Identifying HAART Eligible Pregnant and Postpartum Women and Initiating Treatment
Presenters: All
The country team will review and agree on the variety of means and action steps to implement the discussed session/program element. The team will begin to draft a workplan document that shows activities and results as well as the conditions necessary for achieving and monitoring both. They will define how activities will be monitored, progress evaluated and data collected and used to support program implementation. These conditions include important assumptions on which rest decisions about activities, location, timing, procurement, and so on.
11:00 a.m.-1 p.m.
Session 3: Infant Follow-up and Early Infant Diagnosis (I)
Moderator: Tayla Colton
11:00-11:30 a.m.
Overview and ICAP Approach
Presenter: Ruby Fayorsey
This session will describe and outline the model of care for exposed infant follow-up and early infant diagnosis including the course of care for the exposed infant such as growth monitoring, cotrimoxazole prophylaxis, developmental assessment and immunizations. The presenter will describe the importance of early infant diagnosis as part of the pediatric basic care package, review the ICAP early infant diagnosis protocol and describe the continued importance of WHO criteria for presumptive diagnosis of severe HIV infection for purposes of initiating ART.
11:30 a.m.-12:00 p.m.
Country Experience & Challenges:
Ethiopia & Tanzania: Implementing Early Infant Diagnosis
(15 min each)
Presenters: Mengistu Tafesse Tenagashaw and Aziz O. Abdallah
- Ethiopia: Implementing Early Infant Diagnosis: ICAP-Ethiopia Experiences and Challenges (Mengistu Tafesse Tenagashaw)
- Tanzania: Early Infant HIV Diagnosis Program - Tanzania Experience (Aziz Abdallah)
12:00-12:15 p.m.
Questions and Answers
Moderator: Tayla Colton
12:15-1:00 p.m.
Cross-country Group Discussion: Challenges & Implementation Issues
Presenter: All
The cross-country team will review and agree on the variety of means and action steps available to implement the discussed session/program element. The team will begin to draft a workplan document that shows activities and results as well as the conditions necessary for achieving and monitoring both. They will define how activities will be monitored, progress evaluated and data collected and used to support program implementation. These conditions include important assumptions on which rest decisions about activities, location, timing, procurement, and so on.
1:00-2:00 p.m.
WORKING LUNCH: Continue Discussing Infant Follow-up and EID Challenges & Implementation Issues
2:00-4:30 p.m.
Session 4: Infant Follow-up and Early Infant Diagnosis (II)
Moderator: Tayla Colton
2:00-3:30 p.m.
Cross-country Group Presentation: Solutions and Actions Steps
Presenter: All
Participants will reconvene from their working lunches continuing with the cross-country seating arrangements. One member of each cross-country team will have 10 minutes to present a response to one of the challenges and answer questions from the larger group.
3:30-4:30 p.m.
Country Team Strategizing: Identifying Exposed Infants and Engaging Them into Care
Presenter: All
The country team will review and agree on the variety of means and action steps available to implement the discussed session/program element. Country teams will also review and consider solutions and action steps identified on their behalf from previous cross-country team activities. The team will begin to draft a workplan document that shows activities and results as well as the conditions necessary for achieving and monitoring both. They will define how activities will be monitored, progress evaluated and data collected and used to support program implementation. These conditions include important assumptions on which rest decisions about activities, location, timing, procurement, and so on.
4:30-5:30 p.m.
Pediatric Clinical Mentoring Overview (II)
Presenter: Robin Flam
Note: Presenters/Moderators for Day 3 should meet from 5:30-6:30pm
6:30-9:00 p.m.
Team Building Activity and First Annual ICAP Pediatric Dinner